Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.60 / $1,556.00 / $3,175.00	Facility		$511.60	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.70 / $383.70 / $420.08	Facility	54	$383.70	$383.70	$420.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.60 / $511.60 / $560.11	Professional		$511.60	$511.60	$560.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.60 / $554.13 / $1,410.00	Professional		$524.60	$554.13	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.88 / $761.64 / $1,479.29	Professional		$501.88	$761.64	$1,479.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.21 / $1,236.49 / $1,236.49	Professional		$1,129.21	$1,236.49	$1,236.49
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.40 / $1,146.73 / $1,497.06	Professional		$447.40	$1,146.73	$1,497.06